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Table 1 Comparison of patient characteristics, examination/diagnostic factors, and pathology among the diagnostic groups

From: High rate of postoperative upstaging of ductal carcinoma in situ when prioritizing ultrasound evaluation of mammography-detected lesions: a single-center retrospective cohort study

Variables

Overall

US

MG

Pa

N = 272

US-CNB

(n = 200)

MG-VAB

(n = 31)

WLSB

(n = 41)

 

Patient characteristics

 Age

272

   

0.16

  <50 years

 

81

7

16

 

  ≥50 years

 

119

24

25

 

 BMI

269

   

0.13

  <23.5

 

131

15

24

 

  ≥23.5

 

66

16

17

 

 Previous history of breast cancer

272

   

1

  No

 

180

28

37

 

  Yes

 

20

3

4

 

 Family history of breast cancer

248

   

0.46

  No

 

144

19

31

 

  Yes

 

40

8

6

 

 Lesion side

272

   

0.69

  Left

 

99

18

21

 

 Right

 

101

13

20

 

Diagnostic/examination factors

 Initial detection method

272

   

< 0.001

  Screening imaging

 

100

30

41

 

  Palpated by the patient

 

84

0

0

 

  Nipple discharge

 

16

1

0

 

 Palpability (by surgeon)

272

   

< 0.001

  No

 

91

31

41

 

  Yes

 

109

0

0

 

 Lesion under US

261

   

< 0.001

  Not detectable

 

0

26

32

 

  Detectable

 

200

1

2

 

 MG BI-RADS categoryb

210

   

0.005

  1, 2, or 3

 

20

1

0

 

  0, 4, or 5

 

118

30

41

 

 MG mass or architectural distortion

207

   

< 0.001

  No

 

87

29

31

 

  Yes

 

53

0

7

 

DCIS-associated factors (at biopsy)

 DCIS grade

206

   

0.26

  Low

 

21

8

6

 

  Intermediate

 

58

13

15

 

  High

 

66

8

11

 

 Suspicion of microinvasion

261

   

0.03

  No

 

173

31

40

 

  Yes

 

17

0

0

 

 ER

217

   

0.005

  Negative

 

52

3

3

 

  Positive

 

108

20

31

 

Definitive surgery type

272

   

< 0.001

 Breast conserving surgery

 

92

22

37

 

 Mastectomy

 

108

9

4

 

Diagnosis at definitive surgery

272

   

< 0.001

 DCIS

 

59

28

39

 

 Invasive cancer (upstage %)

 

141 (70.5)

3 (9.7)

2 (4.9)

 
  1. Abbreviations: ER estrogen receptor, US-CNB ultrasound-guided core needle biopsy, MG-VAB mammography-guided vacuum-assisted biopsy, WLSB wire localized surgical biopsy, US ultrasound, MG mammogram, BI-RADS The Breast Imaging and Data System, DCIS ductal carcinoma in situ, BMI body mass index
  2. aPearson’s chi-square test applied to the US and MG groups
  3. bExcluded patients who underwent MG after US-CNB-proven DCIS (BI-RADS “6”)